Following a brief consideration of two contrasting purposes for teaching the medical humanities, a description is given of a film discussion elective course. In contrast to the usual teaching of medical ethics which is primarily a cognitive activity emphasizing the development of a code of principles such as justice, autonomy, and beneficence, the film discussion elective was primarily an affective activity emphasizing the development of an ethical ideal of caring, relatedness, and sensitivity to others. The pass/fail elective, offered for one (...) credit each quarter for two quarters, met once a week for one hour for twenty-four weeks. Each week a film was shown followed by a group discussion. A wide variety of social issues were covered. The objective of the course was to increase the ethical sensitivity of the medical students through promotion of introspection and reflection on social issues. A brief discussion is given of the importance and appropriateness of using film to promote the affective focus of medicine on the relief of suffering. Examples are given of how the course achieved its objective. A detailed description of the resource materials is provided. (shrink)

The prominent call to legalise same-sex marriage in Australia raises questions concerning whether its achievement will result in amplified societal acceptance of lesbian, gay, bisexual, and transgender (LGBT) people, and on what grounds this acceptance will take place. Same-sex marriage may not challenge heteronormative and patriarchal features typically associated with marriage, and may serve to reinforce a hierarchy that promotes traditional marriage as the ideal relationship structure. This may result in only assimilationist acceptance of LGBT people. However, the consequence of (...) inclusion to marriage ought to reflect social acceptance of LGBTs as people worthy of equal treatment in dignity and in rights, regardless of perceived differences or similarities to a supposed majority standard. This article argues that justice would be best served by introducing and promoting a variety of State-sanctioned unions whilst simultaneously introducing same-sex marriage. This ‘pluralisation strategy’ would increase awareness and legitimacy of other relationship-recognition options, promoting respectful acceptance of LGBT and heterosexual people alike. (shrink)

A study of clinical medical ethicists was conducted to determine the various philosophical positions they hold with respect to ethical decision making in medicine and their various positions' relationship to the subjective-objective controversy in value theory. The study consisted of analyzing and interpreting data gathered from questionnaires from 52 clinical medical ethicists at 28 major health care centers in the United States. The study revealed that most clinical medical ethicists tend to be objectivists in value theory, i.e., believe that value (...) judgments are knowledge claims capable of being true or false and therefore expressions of moral requirements and normative imperatives emanating from an external value structure or moral order in the world. In addition, the study revealed that most clinical medical ethicists are consistent in the philosophical foundations of their ethical decision making, i.e., in decision making regarding values they tend not to hold beliefs which are incompatible with other beliefs they hold about values. (shrink)

A study of physicians and medical students was conducted to determine the various philosophical positions they hold with respect to ethical decision-making in medicine and their epistemological presuppositions in relationship to the subjective-objective controversy in value theory. The study revealed that most physicians and medical students tend to be objectivists in value theory, i.e., believe that value judgements are knowledge claims capable of being true or false and are expressions of moral requirements and normative imperatives emanating from an external value (...) structure or moral order in the world, but that most physicians and medical students are inconsistent in the philosophical foundations of their medical ethical decision-making, i.e., in decision-making regarding values they tend to hold beliefs which are incompatible with other beliefs they hold about values. The study also revealed that most physicians and medical students think more emphasis should be placed upon medical ethics in medical education. (shrink)

This article critically examines the way in which Sartre dealt with the problem of alterity in his early works, proposing that Sartre presented an unsatisfactory account of alterity in his first philosophical work entitled The Transcendence of the Ego, though his study of imagination offers ample opportunities to re-examine the question of alterity and to arrive at a more adequate formulation of the way in which the self relates to the other. I therefore begin by demonstrating that the (...) Transcendence of the Ego perpetuates the Cartesian tradition where the self is defined primarily in terms of thinking-that is, self-consciousness and immanence. Next, I turn to the Sartrean Psychology of Imagination to find another way of conceptualizing the problem. I inquire into his general theory of the imaginary consciousness defined as a 'picture consciousness' and argue that it reduces the alterity of the imaginary object to sheer absence. As such, the theory of imagination does not allow us to bring the fundamental character of alterity to light. Still, we uncover a more adequate way of dealing with alterity in the context of the imaginary life. I show that the notion of the 'picture itself' allows us to conceptualize alterity as the radical withdrawal of the other. Finally, I make evident that the imaginary subject is necessarily divided between itself and itself as another and due to that internal split, can grasp the alterity of another person. (shrink)

Simone de Beauvoir is one of the most well‐known chroniclers of the twentieth century and her formal volumes of autobiography are widely cited as a left‐wing intellectual's account of her era. Yet her life writing extended far beyond formal memoir to include diaries, letters, and biographical testimonies. In this chapter I analyze the broad movements of Beauvoir's engagement with the genre, from her early philosophical diaries to her formal memoirs and biographies, in the context of her own philosophical and literary (...) worldview. Her auto/biographical writings will emerge from this analysis as an individual case history in which Beauvoir tests out many of her philosophical notions concerning situated selfhood and bears witness to the major evolutions in twentieth century western society. (shrink)

In his essay On Liberty, John Stuart Mill presents the famous harm principle in the following manner: “[…] the sole end for which mankind are warranted, individually or collectively, in interfering with the liberty of action of any of their number, is self-protection. […] The only part of the conduct of anyone, for which he is amenable to society, is that which concerns others. […] Over himself, over his own body and mind, the individual is sovereign.” Hence, there is (...) a distinction between self-regarding and other-regarding acts, and only the latter are subject to moral criticism. However, while all acts are in some way selfregarding, it is not clear if there are any which are exclusively so. There are two additional difficulties. First, the “individual” may not be an individual person; self-determining communities, at least when they have the ability to decide for themselves, are also “individuals” in this sense. Second, it is claimed that groups of acts (activities and practices) have a different kind of justification from single acts. So what are the limits which “others” have in order to protect themselves from what “individuals” (personal or not) do, and what are their rights to do and to protect? If, in the final analysis, protection or defense is a source of justification, what should or must be protected, and why? Where does the demarcation line between self-regarding and other-regarding acts lie? In our age, as in Mill’s, we encounter many situations where such a line is needed, yet is hard to determine or establish. One such example, the case of same-sex marriages, is further explored in this paper. (shrink)

Dasein is authentically itself only to the extent that, as concernful Being-alongside and solicitous Being-with, it projects itself upon its ownmost potentiality-for-Being rather than upon the possibility of the they-self. (Heidegger, BT, 308)The more I return to myself, the more I divest myself, under the traumatic effect of persecution, of my freedom as a constituted, willful, imperialist subject, the more I discover myself to be responsible; the more just I am, the more guilty I am. I am "in myself" (...) through the others. (Levinas, OB, 112)these singular beings [Daseins] are themselves constituted by sharing, they are distributed and placed, or rather spaced, by the sharing that makes them others: other for one another, and other, infinitely other for the Subject of their fusion, which is engulfed in the sharing, in the ecstasy of the sharing "communicating" by not "communing." ... Thus, the communication of sharing would be this very dis-location. (Nancy, IC, 25)What defines the "self" is precisely what defines us as personsnamely, the various roles and relationships that link us to others. (Bockover, ERS, 56). (shrink)

Philosophers ask just whose expression, if anyone’s, we hear in lyric poetry. Walton provides a novel possibility: it’s the reader who “uses” the poem (just as a speech giver uses a speech) who makes the language expressive. But worries arise once we consider poems in particular social or political settings, those which require a strong self-other distinction, or those with expressions that should not be disassociated from the subjects whose experience they draw from. One way to meet this (...) challenge is to consider the poem expressive of a plural subject, which frees us from looking for a particular individual whose voice we hear in the work, whether she be fictional or actual. Some lyrics give voice to a group whose experience is attended to in the work. This may be done through a posited fictional speaker, but the ontology of the speaker is shown to be less important. Attending to a group whose concerns are voiced allows us to explain how poems can manage to address our-worldly concerns even when lacking actual persons whose expressions we encounter in the poems. (shrink)

This study investigates the three major educational philosophies behind the medical humanities programs in the United States. It summarizes the characteristics of the Cultural Transmission Approach, the Affective Developmental Approach, and the Cognitive Developmental Approach. A questionnaire was sent to 415 teachers of medical humanities asking for their perceptions of the amount of time and effort devoted by their programs to these three philosophical approaches. The 234 responses constituted a 54.6% return. The approximately 80:20 gender ratio of males to females (...) and other demographic data on age and educational background were consistent with other studies of the field of medical humanities.Reflections on the results in Table II indicate that some changes need to take place in the teaching of the medical humanities if the perceived ideal is to be achieved. In order for the current teachers of the medical humanities to think that the appropriate philosophies behind the teaching of the medical humanities are being implemented as they should be, much less time and effort need to be devoted to the Cultural Transmission Approach. With no other published reports on the educational philosophies behind the medical humanities programs, this study created a new knowledge base about this relatively young and rapidly emerging field. (shrink)

Johann Frick has claimed that morality requires that we (in many cases) should give in to the demands of rational agents who attempt to extort us by threatening to harm themselves (self-threatening extortionists). He has further argued that since contractualism implies that there is no such moral requirement, such cases represent a problem for this brand of moral theory. In this paper, we argue that things are quite the other way around: Morality does not require that we give (...) in to the demands of self-threatening extortionists. Such cases, therefore, represent a problem for (act) utilitarianism, rather than contractualism. Our argument appeals to a particular understanding of the idea that rational agents have a special responsibility to take care of their own interests or welfare. (shrink)

This chapter defends the principle of collective self-determination as a second principle of natural resource justice. This defence emerges from consideration of the principle of natural resource sovereignty, which appears to be a candidate for agreement from the perspective of Contractualist Common Ownership. The responsible stewardship defence of resource sovereignty is rejected. The collective self-determination defence, however, is shown to get something right. Parties to the original position would indeed accept a principle according to which resource rights must (...) support political communities in the legitimate exercise of collective self-determination, because such self-determination promises to further individuals’ interests in freedom as non-domination. But the principle of collective self-determination appears to support merely a presumptive right of exclusive territorial jurisdiction over natural resources, rather than resource sovereignty. This presumptive right must be abnegated or moderated if it conflicts with basic needs satisfaction, or with the self-determination of other political communities. (shrink)

Von Hippel & Trivers reason that the potential benefits of successfully deceiving others provide a basis for the evolution of self-deception. However, as self-deceptive processes themselves provide considerable adaptive value to an individual, self-deception may have evolved as an end in itself, rather than as the means to an end of improving other-deception.

Elected prosecutors have pledged not to enforce abortion laws, in response to state-level abortion bans. For their pledges to be meaningful, prosecutors must exercise their discretion in cases of individuals who face legal risk, including people who help others self-manage their abortions. With a harm-reduction approach to improving abortion access, prosecutors should aim to reduce abortion helpers’ involvement with the criminal justice system.

Were we just the Darwinian adaptive survival/reproduction machines von Hippel & Trivers invoke to explain us, the self-deception problem would not only be simpler, but also nonexistent. Why would unconscious robots bother to misinform themselves so as to misinform others more effectively? But as we are indeed conscious rather than unconscious robots, the problem is explaining the causal role of consciousness itself, not just its supererogatory tendency to misinform itself so as to misinform (or perform) better.

Qualia Epiphenomenalism is the view that qualitative events lack causal efficacy. A common objection to qualia epiphenomenalism is the so-called Self-Stultifying Objection, which suggests that justified, true belief about qualitative events requires, among other things, the belief to be caused by the qualitative event—the very premise that qualia epiphenomenalism denies. William Robinson provides the most sustained response to the self-stultification objection that is available. In this paper I argue that Robinson's reply does not sufficiently overcome the (...) class='Hi'>self-stultification objection. (shrink)

Recent simulations by Scanlon et al. showed seemingly spectacular results for the Waymo self-driving vehicle in simulations of real accident situations. In this paper, it is argued that the selection criteria for accident situations must be modified in accordance with the relevant policy alternatives. While Scanlon et al. compare Waymo with old human-driven vehicles, it is argued here that the relevant policy question is whether we ought to use self-driven vehicles or human-driven vehicles in the future, which means (...) that we need to consider whether other technological solutions, which are available but not broadly used in human-driven vehicles, could result in human-driven vehicles managing to avoid the same accidents. In this article, a proposal for a new standard of selection criteria is made. (shrink)

What is the role of self-concept in motivating moral behavior? On one account, when people are primed to perceive themselves as “do-gooders”, conscious access to this positive self-concept will reinforce good behavior. On an alternative account, when people are reminded that they have done their “good deed for the day”, they will feel licensed to behave worse. In the current study, when participants were asked to recall their own good deeds (positive self-concept), their subsequent charitable donations were (...) nearly twice that of participants who recalled bad deeds, or recent conversation topics, consistent with an account of moral reinforcement. In addition, among participants reporting good deeds, those who did not note whether they were recognized or unrecognized by other people donated significantly more than participants who took note of others’ responses. In sum, when people are primed to see themselves as good people, who do good for goodness’ sake, not to obtain public credit, they may be motivated to do more good. (shrink)

Opponents of paternalism have sought to formulate non-paternalistic arguments for some seemingly reasonable but apparently paternalistic policies. This article addresses two such non-paternalistic arguments—the public charge argument and the psychic harm argument. The gist of both arguments is that a person’s imprudent or risky behavior often affects the interests of others adversely, and that this justifies restricting his or her behavior in various ways. The article shows that both arguments face important problems. It thus throws serious doubt on the prospect (...) of holding on to apparently sound and well-founded policies whilst at the same time avoiding paternalism. (shrink)

Patients at the end of their life who express a wish to die sometimes explain their wish as the desire not to be a burden to others. This feeling needs to be investigated as an emotion with an intrinsically dialogical structure. Using a phenomenological approach, two key meanings of the feeling of being a burden to others as a reason for a wish to die are identified. First, it is an existential suffering insofar as it contains the perception of a (...) plight so desperate that it can only be relieved by the end of the patient’s existence. Second, it is an empathic concern that implies caring about those who bear the burden of caring for the person at the end of their life. It is therefore a moral emotion, encompassing a series of difficulties, including the subjective perception of a stark imbalance between giving and taking, the adequacy of the representation of the caregiver burden in the patient’s mind, and the danger of diminishing the worth of one’s life out of shame or self‐denigration. R. D. Laing’s terminology of crossed perspectives in interexperience is used to systematically distinguish the actual caregiver burden, the patient’s view of the caregiver burden, the stress for the patient in feeling that s/he is a burden to the caregiver, and the caregiver’s view of the patient’s stress. The sense of being a burden implies the belief that the caregiver feels burdened, and the fear that this burden could become unbearable. (shrink)

Topography or topology is a mode of philosophical thinking that combines elements of transcendental and hermeneutic approaches. It is anti-reductionist and relationalist in its ontology, and draws heavily, if sometimes indirectly, on ideas of situation, locality, and place. Such a topography or topology is present in Heidegger and, though less explicitly, in Hegel. It is also evident in many other recent and contemporary post-Kantian thinkers in addition to Kant himself. A key idea within such a topography or topology is (...) that of triangulation—an idea that appears explicitly in the work of Donald Davidson. Triangulation captures the idea of the topographical domain as constituted through the mutual relatedness of the elements within it, and as only to be understood through the mapping out of such relatedness—in the case of the topographical domain that is the world, through the relatedness of self, other, and thing. (shrink)

Two major features of emotions are their personal, interested nature and the centrality of the self-other relation. There seems to be a built-in tension between the two: this is evident, for example, in negative emotions such as envy and hate, where one person has a significant negative attitude toward another. This tension is also obvious in positive emotions, such as schadenfreude, where an individual is pleased about the other’s misfortune. Such tension may even be greater in romantic (...) love, where the lover should give special attention and status to the beloved. The tension gains further momentum when we assume that self-fulfillment is an essential feature of romantic relationships. Indeed, it seems that in many low-quality romantic relations, the tension between self-fulfillment and the needs of the beloved is real and toxic. However, in enduring profound love, which involves the personal growth of each partner, self-fulfillment is not egoistic, and the tension drives mutual thriving. (shrink)

Although several philosophical approaches to shame emphasize the role of the ‘other’ this has attracted less attention from psychologists. The psychological construct of self-awareness does not adequately account for the shift in perspective that is involved in shame or embarrassment. This paper outlines a framework for the analysis of shame which emphasises the adoption of another perspective on the self. It proposes that shame is experienced when an individual recognises that an action can give rise to a (...) negative interpretation by others of core aspects of the self, even if he or she does not share that interpretation and there is no self-attribution of responsibility for any wrongdoing. The framework is applied to the analysis of two episodes from Elizabeth Gaskell’s novel, North and South. The character is described as experiencing intense shame, despite her belief that she has behaved properly, and this is accompanied by her preoccupation with how her behaviour can be interpreted by others. (shrink)

I propose a modal logic that enables to reason about self-regarding and otherregarding motivations in strategic games. This logic integrates the concepts of joint action, belief, individual and group payoff. The first part of the article is focused on self-regarding agents. A self-regarding agent decides to perform a certain action only if he believes that this action maximizes his own personal benefit. The second part of the article explores different kinds of other-regarding motivations such as fairness (...) and reciprocity. Differently from self-regarding agents, other-regarding agents also consider the benefits of their choices for the group. Moreover, their decisions can be affected by their beliefs about other agents' willingness to act for the well-being of the group. The analysis also considers team-directed reasoning, i.e. the mode of reasoning that people use when they take themselves to be acting as members of a group or a team. (shrink)

In this paper, I present a non standard objection to moral impartialism. My idea is that moral impartialism is questionable when it is committed to a principle we have reasons to reject: the principle of self-other symmetry. According to the utilitarian version of the principle, the benefits and harms to the agent are exactly as relevant to the global evaluation of the goodness of his action as the benefits and harms to any other agent. But this view (...) sits badly with the “Harm principle” which stresses the difference between harm to others and harm to the self. According to the deontological version, we have moral duties to ourselves which are exactly symmetrical to our duties to others. But there are reasons to believe that the idea of a duty to the self is not coherent. (shrink)

In past decades, significant work in behavioural economics has decisively revealed the limitations of the human agency model known as Homo Economicus, whereby humans are purely driven by material self-interest. These behavioural findings are, however, far from integrated in mainstream economic theory, which builds heavily on the neoclassical tradition. Unbeknown to modern economics, Bernard Mandeville and Adam Smith already proposed a richer model of human agency in which choices also depend on the desire for social approbation. The social approbation (...) mechanism complements material self-interest and provides a more diverse toolset, which is able to explain social preferences. Mainstream economic agency confines the study of human action to an artificially-limited spectrum because it reduces society to atomistic individuals who maximise one all-purpose measure of value: utility, which is often instrumented by consumption. Collective action is therefore only sustainable where material incentives are in place, as the economic agent rides for free unless financially penalised. To explain pro-social behaviour from the standpoint of self-interest, Mandeville and Smith proposed that agents also maximise social approbation, which conveys incentives to act pro-socially because the desire for others' approval encourages compliance with social norms. The upshot for collective action is that, assuming social norms represent common interests, approval from others provides an extrinsic motive for pro-social behaviour. I formalise the mechanism by proposing a simple utility function in which agents maximise social approbation as well as material self-interest. (shrink)

The improbability of a spontaneously generated self-assembling molecule has suggested that life began with a set of simpler, collectively replicating elements, such as an enclosed autocatalytic set of polymers (or autocell). Since replication occurs without a self-assembly code, acquired characteristics are inherited. Moreover, there is no strict distinction between alive and dead; one can only infer that an autocell was alive if it replicates. These features of early life render natural selection inapplicable to the description of its change-of-state (...) because they defy its underlying assumptions. Moreover, natural selection describes only randomly generated novelty; it cannot describe the emergence of form at the interface between organism and environment. Self-organization is also inadequate because it is restricted to interactions amongst parts; it too cannot account for context-driven change. A modified version of selection theory or self-organization would not work because the description of change-of-state through interaction with an incompletely specified context has a completely different mathematical structure, i.e. entails a non-Kolmogorovian probability model. It is proposed that the evolution of early life is appropriately described as lineage transformation through context-driven actualization of potential, with self-organized change-of-state being a special case of no contextual influence, and competitive exclusion of less fit individuals through a selection-like process possibly (but not necessarily) playing a secondary role. It is argued that natural selection played an important role in evolution only after genetically mediated replication was established. (shrink)

Defends an alternative to danger to self or others as a basis for involuntary treatment. Involuntary hospitalization for treatment should hinge on a patient's competence to refuse treatment.

This chapter talks about to my other self reflection and existentialism in dungeons dragons. The 3.5 Dungeon Master's Guide II sourcebook discusses player motivations such as these, recognizing that, for many, they are one of the main reasons to play DD. The actor plays a character that someone else has envisioned and written: a figment of someone else's imagination. The author's task looks at the other side of this coin: an author conceives of a world and characters, (...) and then sees how those characters will react to their circumstances. The very chapter owes its existence to one from whom the author learned that he had the capacity for courage and faith, to Lady Yui – to my other self. (shrink)

ABSTRACT People tend to be unable to evaluate themselves accurately in many areas. One such area is their own and others’ morality. The current research explores the self–other moral valuation difference in the context of moral foundation theory. We propose that people generally have a moral positive illusion. Specifically, people overestimate their own morality and underestimate the morality of others. Two studies provide converging evidence that individuals underestimate the average moral valuations of others on the five dimensions of (...) moral foundation theory. In particular, we demonstrate three moderators for moral positive illusion: moral foundation type, gender, and political identity. Specifically, compared with the binding foundations, people have greater moral positive illusions based on the individualizing foundations; compared to men, women have greater moral positive illusions; and compared with liberals, conservatives have greater moral positive illusions based on the binding foundations. (shrink)

How one transcends the self depends on the self that experiences it. Is it instigated or sought, does it happen by accident, or by an act of Grace? Is it common or rare? Is it brought on by the ingestion of psychedelic agents or by meditation or by being overcome by fear or merely by caring more about the welfare of others than oneself? Is it transcendence to experience a shift of perspective or dissolution of the self? (...) In the pages that follow, each of these paths is explored in nine ways, each unique unto itself. None of them deal with absolute self-transcendence, which should be no surprise, for, as I’ve indicated, there would no longer a self or person to record or communicate the event. Many of them deal the transcendence of self-consciousness, my own included, but only two describe the ingestion of mind-altering psychedelics to catalyze the event. One sees self-construction from the ground-up, as it were, as a form of transcending a previous self that has disintegrated. One looks to acts of kindness to sidestep the illusion of self-consciousness. Two, at least, look to creative experience in the arts as a way to connect with universal spontaneity, but in very different ways. The others refer to what might be called spiritual experiences that, though thirsted for or sought, arrive unexpectedly, almost like a gift. (shrink)